Meridian Dialysis LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

MERIDIAN DIALYSIS LLC

Practice address

1324 S Euclid St
Anaheim, CA 92802-2002

Phone

(714) 774-1518

Fax

(714) 774-1549

NPI assigned

Feb 6, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Samuel T. Wey

Title

VP, Licensure & Certification

Phone

(615) 341-6641

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Anaheim Springs Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

DaVita Anaheim Springs DialysisCCN 552766

Overall star rating

4.0 of 5

Ownership

Profit

Certified

Sep 15, 2014

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

26

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Total Renal Care Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Burlington, WA
  • NPI 1932595584

  Member Of

  NPD member

Locations

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Nirav D Gandhi, M.D.

  • Nephrology Physician
  • Anaheim, CA
  • NPI 1649263252

  Dialysis facility

  Care Compare affiliation Name & address match
• Mohammad Ismail, MD

  • Nephrology Physician
  • Paramount, CA
  • NPI 1730105784

  Dialysis facility

  Care Compare affiliation Name & address match
• Peter Sohn, M.D.

  • Nephrology Physician
  • Garden Grove, CA
  • NPI 1225579675

  Dialysis facility

  Care Compare affiliation Name & address match

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1391644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1407270804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "L&C DEPT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 S EUCLID ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928022002",
            "telephone_number": "714-774-1518",
            "fax_number": "714-774-1549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-06",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "WEY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "VP, LICENSURE & CERTIFICATION",
        "authorized_official_telephone_number": "615-341-6641"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407270804",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anaheim Springs Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Anaheim Springs Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anthony Curtis Mercer, CADCI
• Bailey Mercer
• Gershwin Merencillo
• Ashley Yvette Merida
• Daisy Merida
• Kailey Merino
• Maria Corazon A Meris, M.D.
• Elliot Reed Merrick, M.B.A.
• Joan Rice Merrill
• Michelle Merton

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Anaheim, CA
• Providers in Anaheim, CA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.